Clinical Case – Leukocyte Vacoulation Bacterial Infection

37 years old woman, high fewer, shore throat and abdominal pain.

High WBC count, left shift in the differential count (metamyelocytes and bands) and low thrombocytes.

D-dimer was also elevated. Peripheral blood smear findings are in the picture below.

vacuolized neutrophils with bacterial inclusions

vacuolized neutrophils

vacuolized neutrophils


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